ABSTRACT
The aim of this randomized controlled trial was to evaluate the survival rate, the marginal bone level, and the aesthetic outcome; at 3 years' follow-up, of dental implants placed into a high-esthetic aesthetic zone by comparing 2 techniques of postextraction implant with immediate loading: the socket shied technique and the conventional insertion technique.Several clinical studies suggested that the avulsion of a dental element causes dimensional alterations of both soft and hard tissues at the postextractive site. To increase the aesthetic outcomes, the "socket-shield technique" has been proposed. This method involves maintaining the vestibular root portion and immediate insertion of the dental implant in close proximity to the root.Patients enrolled in this study were randomized to receive a postextraction implant in the aesthetic zone, either with the socket shied technique or with the conventional insertion technique. Implant survival, marginal bone level, and the pink aesthetic score were the outcomes evaluated.Implant survival rate was 100% in both the groups at 3 years. Implants inserted with the socket shield technique showed better values of both marginal bone level and pink aesthetic score (Pâ<â0.05).Although such preliminary results need to be further confirmed, the socket shield technique seems to be a safe surgical technique that allows an implant rehabilitation characterized by better aesthetic outcomes.
Subject(s)
Dental Implantation/methods , Dental Implants , Esthetics, Dental , HumansABSTRACT
BACKGROUND: Postextractive dental implant surgery is a technique characterized by several advantages like placing the implant during the same moment of the extraction, so reducing the time of the surgery and consequently all the prosthetic procedure; however some limitations still remain during this procedure. The disadvantages are represented by the unpredictable results of the healing of the extraction socket, its bone resorption and the dental implant inclination even using a prosthetic guide. Aim of this study is to present a predictable technique for having better aesthetic and functional results during the dental implant positioning. METHODS: This study want to presents clinical and radiological case report of dental implant placed following the line of the root before the extraction, in order to share with the clinicians a surgical experience that results to be simple and predictable. RESULTS: The implants placed with this kind of technique showed successful osseointegration after an uneventful healing period of two years. CONCLUSIONS: The described technique allows the clinician to achieve the ideal implant positioning during immediate implant placement at multirooted extraction sites.
